One Response to “HPV/Genital warts questions……????”

1. tarnishedsilverheart on April 28th, 2009 3:30 am
   

   1 – Is it possible for me to have HPV & not have any genital warts but pass it to him & him get visible warts??

   Yes, they are 30+ genital HPV types most show no signs of symptoms. Only one in 100 people that have low risk HPV show as a wart.

   2 – Why wouldn't it have come up in pap in March that I had HPV.
   There are lots of reasons why it may not have show with your March Pap:

   If there is no abnormal cell changes an HPV test may not have been done. The FDA approved HPV test does not screen for low risk HPV types. A single Pap smear may not collect abnormal cervical cell changes, and it takes almost a year after the initial infections for HPV to cause abnormal cell changes. Low risk HPV types do cause cell changes but they often regress much faster than high risk HPV types. Low risk HPV types are not linked to cancers. Also the HPV does not take any samples of your vulva. You could have the virus just of the vulva…also many people do carry multiple HPV types.

   3 – He said he noticed them about 2 weeks ago but never said anything to me. Is it possible for me to still not have it?? We've been having sex a lot since he noticed them.

   HPV is very contagious so you probably have acquired his HPV type o you have shared your HPV type with him.

   4 – Is it possible for him to have been misdiagnosised?? On-line it says it can be misdiagnosised & really have Molluscum contagiosum??

   Genital warts and Molluscum contagious have some similarities but most doctors can tell the difference. If you doubt the doctors diagnose see another doctor. It is important to believe in your doctor’s diagnosis.

   It may take years for your virus to cause abnormal cells…but many women with the virus build a good immunity and never show abnormal cell changes. Keep current with your Pap and ask your doctor to add the HPV even if he doesn’t see abnormal cell changes. http://www.thehpvtest.com

   I am including a couple of articles please let me know if I can help you with more information.

   I wish you well

   FROM THE MAYO CLINIC

   Regular condom use can limit further damage from HPV
   Tribune Media Services
   December 9, 2007

   Q. I have HPV. I have been monogamous, so my partner must be the
   transmitter. Are there any symptoms of HPV in the male? If he wore a
   condom regularly, would my chances of recurring abnormal Pap tests be
   minimized?

   A. Genital human papillomavirus (HPV) infections are common. More
   than 40 types of HPV can be transmitted during vaginal or anal
   intercourse. Consequently, most sexually active people have HPV at
   some time during their lives.

   Many types of HPV have no symptoms. Women often are diagnosed as the
   result of an abnormal Pap smear, a routine cancer screening of the
   cervix. Some types of HPV may cause precancerous changes to the
   cervix, vagina, vulva, anus or penis. Other types of HPV cause
   genital warts.

   Even though you've already contracted the infection, your partner
   should always wear a condom when you have sex. Using a condom
   regularly and correctly can help minimize your chance of further
   infection within your vagina and on your cervix, which can cause
   recurring abnormal Pap tests. Keep in mind, though, that the
   infection can be spread through other skin-to-skin contact. So areas
   of your partner's genitals not covered by the condom can transmit the
   virus to you.

   Regarding your question about male symptoms, HPV can cause genital
   warts on the penis, testicles or around the anus. These flat or
   cauliflower-like growths are not painful. Very infrequently, HPV in
   the male can cause cancer of the penis or anus, which can appear as a
   sore or thickening on the penis or bleeding or discharge from the
   anus. Most people who have an HPV infection can pass it to others
   even if no signs or symptoms are evident.

   A vaccine is now available that can help protect females who are 26
   or younger from four types of HPV: Types 6 and 11, which cause 90
   percent of genital warts, and Types 16 and 18, which cause 70 percent
   of cervical cancer.

   Even if you have been previously infected with HPV, you may still
   benefit from the vaccine because it is unlikely that you have been
   infected by all four types of this virus. Research studies are under
   way to determine if this vaccine also could be effective for older
   women as well as for the male population

   HPV Associated With Flat Lesions on Penis

   By Will Boggs, MD

   NEW YORK (Reuters Health) Jan 10 – Human papilloma virus (HPV) is
   associated
   with flat penile lesions that are more common and larger in size in
   partners
   of women with HPV-related cervical disease, according to a report in
   the
   January 1st issue of the International Journal of Cancer.

   Earlier studies have reported a wide spectrum of penile lesions
   associated
   with HPV, the authors explain, but these studies have mainly been
   restricted
   to sexually transmitted disease clinic patients and partners of women
   with
   HPV-associated disease.

   "We know that this virus is sexually transmitted, but we did not know
   where
   and how the virus was present on the penis," Dr. Chris J. L. M.
   Meijer from
   VU University Medical Center, Amsterdam told Reuters Health.

   Dr. Meijer and colleagues therefore investigated the prevalence of
   HPV and
   HPV-associated penile lesions in 156 male outpatients at a non-STD
   clinic
   and in 238 male sexual partners of women with cervical intraepithelial
   neoplasia (CIN).

   Among male hospital patients, 14.3% had flat penile lesions, the
   authors
   report. About a third of these men had lesions affecting more than 5
   square
   millimeters of the penile epithelium.

   In contrast, the results indicate, 60.4% of male partners of women
   with CIN
   had flat penile lesions, and three quarters of these men had lesions
   affecting more than 5 square millimeters.

   HPV DNA was detected more than twice as often in penile scrapes of the
   partners of women with CIN (59.4%) than in the male outpatient
   population
   (25.3%), the researchers note, and the high-risk type HPV 16 was more
   frequently detected in the partners of women with CIN (46.5% versus
   19.0%,
   respectively).

   Median HPV load was more than four times higher in partners of women
   with
   CIN (5.0 copies/cell) than in the male outpatient population (1.2
   copies/cell), the results indicate.

   By this and other studies, "we think we have convincingly
   demonstrated that
   these lesions are the ones that are associated with transmission for
   HPV,"
   Dr. Meijer said.

   "As far as we can extrapolate from our study, only a very small part
   (less
   than 1%) of these lesions will become malignant," Dr. Meijer
   added. "Most of
   these lesions will heal by themselves. But the healing time differs
   (from 8
   months to 14 months). This depends on the presence of HPV…and use of
   condoms."

   "We have looked for the influence of condom use on flat penile
   lesions and
   are investigating whether there is a relationship between…penile
   HPV type
   in men and cervical HPV type in women," Dr. Meijer
   said. "Furthermore, we
   are investigating the relation between certain HPV types and duration
   of the
   lesion."

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